CDC Dog Import Form

[NCEZID] Importation Regulations (42 CFR 71 Subpart F)

Documents and Forms

Document Name Document Type
CDC Dog Import Form Form and Instruction
CDC Dog Import Form Form and Instruction
CDC Dog Import Form Attachment 6_CDC Dog Import Form.pdf Form and Instruction
CDC Dog Import Form Attachment 6_CDC Dog Import Form.pdf Form and Instruction

Information Collection (IC) Details

IC Title:	CDC Dog Import Form	Agency IC Tracking Number:	0920-1383

Is this a Common Form? No		IC Status: New

Obligation to Respond: Mandatory

CFR Citation:

Information Collection Instruments:

Document Type	Form No.	Form Name	Instrument File	URL	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Form and Instruction	n/a	CDC Dog Import Form	Attachment 6_CDC Dog Import Form.pdf		Yes	Yes	Fillable Fileable

Line of Business: Health

Subfunction: Public Health Monitoring

Privacy Act System of Records
Title: Quarantine- and Traveler-Related Activities	FR Citation: 83 FR 6591

Number of Respondents: 750,000	Number of Respondents for Small Entity: 0

Affected Public: Private Sector	Private Sector: Businesses or other for-profits, Not-for-profit institutions

Percentage of Respondents Reporting Electronically: 100 %

	Approved	Program Change Due to Agency Discretion
Annual Number of Responses for this IC	750,000	750,000
Annual IC Time Burden (Hours)	87,500	87,500
Annual IC Cost Burden (Dollars)	0	0

Documents for IC

Title	Document	Date Uploaded
No associated records found

Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.